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Individual

ALYSSA ANN SLATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
413 LAGUNA MILL DR, RUSKIN, FL 33570-4940
(772) 204-4879
Mailing address
413 LAGUNA MILL DR, RUSKIN, FL 33570-4940
(772) 204-4879

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11020999
FL

Other

Enumeration date
08/11/2022
Last updated
12/07/2022
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